An older client who is post-cerebral vascular accident is receiving enteral feedings and is experiencing abdominal cramps and liquid stools. Which is the best nursing intervention to reduce the client's cramping and diarrhea?
1. Advocate for reducing the calories in the formula.
2. Ask to change the client's feeding from bolus to continuous drip.
3. Suggest reducing the amount of formula prescribed.
4. Administer additional free water to the client every day.
2. Ask to change the client's feeding from bolus to continuous drip.
Explanation: 1. Formulas with more than 1 cal/mL can result in diarrhea; however, more than the client's diarrhea is considered to make such a change.
2. A continuous drip of enteral nutrition can reduce the client's occurrences of diarrhea stools. There are few contraindications to altering the feeding to a drip. This is also safer for the client who is at risk for aspiration.
3. Reducing the volume of feeding might reduce diarrhea, but there are caloric needs to consider first. This might be an option if the client is also able to take in some amount orally.
4. Often, the nurse can offer more free water without a prescription, and this can help prevent dehydration. Water will not reduce diarrhea, though.
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